Our expert says:
Be very careful to treat these spots yourself - a lot of the over the counter medication can actually make it worse!
Current treatment consists of the triad of sun blocks, bleach, and time. Sunscreens should be opaque, broad-spectrum formulations with an SPF of at least 30. Bleaching preparations include 2% or 4% hydroquinone-containing creams or gels. Combination products containing sunscreens and hydroquinone can be applied once daily. Simultaneous use of topical tretinoin gel (0.025%) is usually required as well. Also available now are combination corticosteroid/hydroquinone/tretinoin creams, which are very effective and well tolerated by patients for short periods of time (ie, 8 weeks). Another option is glycolic acid peels. This is one skin problem where you actually should invest in a dermatologist consultation.
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